NCLEX Questions Review
1. A nurse is collecting data from a client who is 2 days
postoperative following a colostomy. Which of the following finding
should the nurse report to the provider?
A purple-colored stoma
2. A nurse is caring for a client who has been vomiting excessively
and has diarrhea. Which of the following finding should the nurse
identify as an indication of fluid volume deficit?
Urine specific gravity 1.045
3. A nurse is caring for a client who has a new diagnosis of cancer.
Which of the following actions should the nurse take to maintain
the client’s confidentiality while providing care?
Provide information to another nurse at change of shift
4. A nurse is preparing to obtain a client’s vital signs. When washing
her hands, which of the following actions should the nurse take?
, Turn off the faucet with a clean paper towel after drying
hands
5. A nurse is caring for a client who is receiving intermittent enteral
feedings. Which of the following is the priority action for the nurse
to take?
Measure the client’s gastric residual before each feeding
6. A nurse is reinforcing teaching with the partner of a client who is
immobile. Which of the following instructions should the nurse give
the partner about turning the client in bed?
Tighten your stomach muscle
7. A nurse is assisting with the care of a client who has a
prescription for IV therapy. The client tells the nurse that he has
numerous allergies. Which of the following Allergies should the
nurse bring to the attention of the charge nurse prior to the
initiation of the therapy?
Latex
, 8. A nurse is preparing a client for a Romberg test. Which of the
following statements should the nurse make?
Stand with your feet together and your arms at your
sides
9. A nurse is caring for a client who has chronic kidney disease. The
nurse should identify that which of the following findings is the
priority?
The Client’s output was 60 mL for the past 3 hr
10. What is the nurse's best response when a client diagnosed with
paranoia insists that her food is poisoned?
a. “The food is not poisoned. It’s safe.”
b. “Let’s as your family to bring in your meals.”
c. “I’ll taste it to prove it’s not poisned.”
d. “Either you eat or we’ll feed you by tube.”
11. After a patient has emergent CABG surgery, his wife tells the
nurse that she is anxious about how to help her husband when he
is discharged to home. Which resource can provide support for the
patient and his wife?
1. A nurse is collecting data from a client who is 2 days
postoperative following a colostomy. Which of the following finding
should the nurse report to the provider?
A purple-colored stoma
2. A nurse is caring for a client who has been vomiting excessively
and has diarrhea. Which of the following finding should the nurse
identify as an indication of fluid volume deficit?
Urine specific gravity 1.045
3. A nurse is caring for a client who has a new diagnosis of cancer.
Which of the following actions should the nurse take to maintain
the client’s confidentiality while providing care?
Provide information to another nurse at change of shift
4. A nurse is preparing to obtain a client’s vital signs. When washing
her hands, which of the following actions should the nurse take?
, Turn off the faucet with a clean paper towel after drying
hands
5. A nurse is caring for a client who is receiving intermittent enteral
feedings. Which of the following is the priority action for the nurse
to take?
Measure the client’s gastric residual before each feeding
6. A nurse is reinforcing teaching with the partner of a client who is
immobile. Which of the following instructions should the nurse give
the partner about turning the client in bed?
Tighten your stomach muscle
7. A nurse is assisting with the care of a client who has a
prescription for IV therapy. The client tells the nurse that he has
numerous allergies. Which of the following Allergies should the
nurse bring to the attention of the charge nurse prior to the
initiation of the therapy?
Latex
, 8. A nurse is preparing a client for a Romberg test. Which of the
following statements should the nurse make?
Stand with your feet together and your arms at your
sides
9. A nurse is caring for a client who has chronic kidney disease. The
nurse should identify that which of the following findings is the
priority?
The Client’s output was 60 mL for the past 3 hr
10. What is the nurse's best response when a client diagnosed with
paranoia insists that her food is poisoned?
a. “The food is not poisoned. It’s safe.”
b. “Let’s as your family to bring in your meals.”
c. “I’ll taste it to prove it’s not poisned.”
d. “Either you eat or we’ll feed you by tube.”
11. After a patient has emergent CABG surgery, his wife tells the
nurse that she is anxious about how to help her husband when he
is discharged to home. Which resource can provide support for the
patient and his wife?
